Supported employment began with a focus on those individuals deemed le
ss likely to secure a job in the community: those with severe mental r
etardation, behavioral challenges, and multiple disabilities. The crea
tion of supported employment resulted, in part, because of demonstrati
ons of the com petence and capabilities of these same people previousl
y thought to be unemployable in any meaningful sense of the word. Howe
ver, as supported employment has unfolded, those with the most severe
disabilities appear to be underrepresented in the ranks of those benef
itting from supported employment. Although the limited access to suppo
rted employment by individuals with such labels appears clear, little
is known about how the employment of those with more severe disabiliti
es compares with others in supported employment. This report provides
analyses of the employment features, support patterns, and outcomes fo
r persons with more severe disabilities in supported employment.